Oregon Health Authority Promising Practices

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Jail Diversion

  • Collaboration and regular meetings between CMHP, local law enforcement, and the local court

  • Integrate staff that are Peer Support Specialists or Certified Recover Mentors into the team

  • Integrate staff with a Substance Use Disorder and/or Dual Diagnosis specialty into the team

  • Ongoing training and supervision in topics such as trauma-informed care, cultural competency, civil commitment, law enforcement culture, criminogenic risk factors, and/or other related topics

  • Complete all documentation within 24 hours of intervention

  • Assigned Jail Diversion staff that are co-located staff in the jail to engage with clients with the goal of enrolling them in the jail diversion program

  • Sequential Intercept Model (SIM) mapping and adoption

  • Transitional treatment bed access

  • Availability of Mental Health Crisis resources available to law enforcement to encourage pre-booking diversion

Mobile Crisis

  • Collaboration and regular meetings between CMHP and local law enforcement, ED, and other emergency/crisis providers

  • Involve staff that are Peer Support Specialists or Certified Recover Mentors

  • Ongoing training and supervision in topics such as trauma-informed care, cultural competency, civil commitment, and/or other related topics

  • Having all mobile crisis clinicians trained as civil commitment investigators

  • Having all mobile crisis clinicians trained and able to initiate a Director’s Custody

  • Two clinicians on staff per shift for backup and support

  • Have a supervisor available 24 hours a day, 7 days a week for immediate consultation

  • Complete all documentation within 24 hours of intervention

  • Sequential Intercept Model (SIM) mapping and adoption

  • Mental Health Crisis Center

Aid and Assist

  • Dedicated Deputy District Attorney to oversee Aid and Assist cases

  • Dedicated judge to oversee Aid and Assist cases

  • Dedicated docket for Aid and Assist cases, with community stakeholders present and engaged

  • Dedicated staff to provide restoration services and case management throughout the Fitness to Proceed process

  • Partnerships with local and regional service providers

  • Collaboration between CMHP, judiciary, DA’s office, defense bar, and others as needed

  • Development of a process map between CMHP, judiciary, DA’s office, and defense bar around Aid and Assist roles, responsibilities, and timelines

  • Sequential Intercept Model (SIM) mapping and adoption

  • Mobile Crisis Units

  • CMHP representation at court hearings

  • Mental Health Crisis Center

  • Contracted Certified Forensic Evaluators (CFE)

  • Coordination with the Oregon State Hospital around admissions, discharges, and transition planning

  • Development of housing resources at various levels of care with appropriate wraparound services

  • Use of videoconference, when appropriate, for CFE Evaluations